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General NPI Number Information
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NPI Number | 1972616563
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Entity Type | Individual
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Provider Name | MARINA E RIVERA-VIRELLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 354 CALLE 32 VILLA NEVAREZ
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City | SAN JUAN
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State | PR
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Zip | 00927-5110
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Country | US
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Telephone | 787-754-6085
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Fax | 787-765-4577
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Provider Business Mailing Address
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Address Line | E2 CALLE CHESTNUT HL CAMBRIDGE PARK
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City | SAN JUAN
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State | PR
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Zip | 00926-1451
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Country | US
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Telephone | 787-754-6085
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Fax | 787-765-4577
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 7821
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License Number State | PR
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